Back to story list

LiA Scatter Map for Mental Health, Learning Disability and Community Trusts based on National Staff Survey 2017-2018

Fri 16th March, 2018
LiA Scatter Map for Mental Health, Learning Disability and Community Trusts based on National Staff Survey 2017-2018

The 2017-18 LiA Scatter Map is now available for the Mental Health, Learning Disability and Community Trusts, based on the latest NHS Staff Survey results, and… surprise, surprise, no change to the national trend.

Although the MHLDCOMM cohort has held up better than most, things are still deteriorating in terms of how staff rank leadership and culture. The question must be asked – with only Ambulance Trusts (suspect to be looked at through laced fingers from behind the sofa given their results usually the most damning?) and Acute Specialist Trusts (usually the best results from staff) – whether staff are reflecting on a complete and utter lack of leadership at National level, rather than any local malaise?

Not to let local CEOs and Trust Execs off the hook in any way, but blimey, hands up who wants to be an NHS CEO these days? We’ve said it before and its worth repeating again: if the national agenda of more and more pressure and more and more intervention and more and more bashing of local leaders was going to work, it would have worked by now. We’ve only been at it for 10-15 years. What’s the phase about the first sign of madness?

What was it Ian Caruthers said back in 2006? Its time for courageous leaders to have courageous conversations (or words to that effect). Yep. He wasn’t wrong then, and he wouldn’t be wrong now. Who’s first?

Maybe Lancashire Care, who have plummeted to the bottom of the MHLDCOMM League Table, propping up everyone else from a healthy position in 2016-2017 and dropping 16 places in 12 months? Certainly not our MHLDCOMM leaders, Solent – a non-FT by the way – who, still in organisational infancy, have managed to climb to the dizzy heights of top spot within 2-3 years of foundation (start up that is, not Trust status!). Congrats all round on the south coast. It must be the air down there.

As a reminder, the Scatter Maps show an analysis of the 32 Key Findings from the latest National Staff Survey (NSS) results – produced by Picker Europe for the NHS. Each Trusts' results are reflected at a grid reference on a 32 by 32 ‘Scatter Map’ that shows how staff have rated the Trust’s leadership and culture over the past year. It's simple to understand:

• The higher up you are, the better your Trust is performing against your peers in the eyes of your staff
• The further to the right you are, the more positive your trend, year-on-year.

So, the best quadrant to find your Trust in is 'top right': an above average performance and a positive trend. Second best is 'top left': a positive relative performance according to staff, but they are less positive than the same time last year. The second worst quadrant is 'bottom right': below median performance with some encouraging positivity from staff to soften the blow. The worst quadrant is 'bottom left', with staff views on leadership and culture resoundingly negative.













Download a PDF copy of the Scatter Map  

Those of you familiar with our Scatter Maps from previous years will recognise some changes:

• Gone are the yellow and blue boxes that highlighted whether your organisation was a Foundation Trust or not – this was not proving to be useful or relevant
• They are replaced instead by red and green boxes, reflecting whether an individual Trust’s results are better or worse than last year; red for worse, green for better, and a more visual sense of ‘Whose results are going the wrong way?’
• Trust identifiers are shown only for the best and worst performing Trusts at this stage, for a couple of reasons: 1) We don’t want the named Trust Scatter Map to detract from the wider messages staff are giving national and local leaders; and 2) We want Trust leadership to reflect on where they think they are before we release the results.
• If you want to find out your Trust’s position according to your staff, please call Gordon on 07734 812311 or email to and we will happily share this with interested CEOs and HRDs

Of the 28 MHLDCOMM Trusts, 14 have improved, 14 have declined in staff results around leadership and culture at their Trust. The distribution of Trusts across the quadrants are similar – almost identical – to last year, with one Trust fewer than 2016-2017. There is a shift left and down within quadrants.

Two serious positive quadrant shifters: NE London, and Cumbria Partnership. Well done.

Work to do at RDaSH and Notts Healthcare in addition to Lancashire Care for big drops in staff positivity from 2016-2017.

Ambulance Trusts up next. Yikes!

 Add a comment

All comments are moderated

Save the patient!

Tue 23rd January, 2018

NHS Workforce crisis: Yes or No?

Mon 8th January, 2018

Through My Eyes

Thu 29th June, 2017
Back to story list